Provider Demographics
NPI:1922699636
Name:COLHOUER, DALTON LEE (PHARM D)
Entity Type:Individual
Prefix:
First Name:DALTON
Middle Name:LEE
Last Name:COLHOUER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LEONARD ST
Mailing Address - Street 2:
Mailing Address - City:ONAGA
Mailing Address - State:KS
Mailing Address - Zip Code:66521-9484
Mailing Address - Country:US
Mailing Address - Phone:785-889-7181
Mailing Address - Fax:
Practice Address - Street 1:300 LEONARD ST
Practice Address - Street 2:
Practice Address - City:ONAGA
Practice Address - State:KS
Practice Address - Zip Code:66521-9484
Practice Address - Country:US
Practice Address - Phone:785-889-7181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-100807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist